Case Presentation: A 28-year-old man from Central America with a history of newly diagnosed human immunodeficiency virus (CD4 119 cells/mm^3, CD4 8%, viral load 61,000 copies/mL) presented with two months of progressive shortness of breath. Physical exam was remarkable for anasarca, diffuse cutaneous purpuric plaques as well as bilateral respiratory crackles. Chest x-ray revealed bilateral […]